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<?php date_default_timezone_set("Asia/Kolkata"); ?> <?php include("connection.php"); session_start(); if (!isset($_SESSION['user']) || ($_SESSION['password'] == '')) { header("location:index.php"); exit(); } if(isset($_SESSION['user'])) { $username=$_SESSION['user']; } $user_query = mysql_query("SELECT * FROM loginemp where user='$username' ")or die(mysql_error()); $user_row = mysql_fetch_array($user_query); $username = $user_row['user']; ?> <?php $mysql_hostname = "localhost"; $mysql_user = "ramaregistration"; $mysql_password = "rama@123"; $mysql_database = "ramaregistration"; $prefix = ""; $bd = mysql_connect($mysql_hostname, $mysql_user, $mysql_password) or die("Could not connect database"); mysql_select_db($mysql_database, $bd) or die("Could not select database");?> <?php $msg=""; if(isset($_REQUEST['submit'])) { $ramvalue="RIPL".time(); $deptname=$_REQUEST['deptname']; $scheme=$_REQUEST['scheme']; $postname1=$_REQUEST['postname1']; $district1=$_REQUEST['district1']; $Sub_location=$_REQUEST['hospital']; $postname=$_REQUEST['postname']; $candidatename=$_REQUEST['candidatename']; $newcandidatename=$_REQUEST['Fname']." ".$_REQUEST['Mname']." ".$_REQUEST['Lname']; $oldfathername=$_REQUEST['Marital']; $fathername=$_REQUEST['Father_Fname']." ".$_REQUEST['Father_Mname']." ".$_REQUEST['Father_Lname']; $gender=$_REQUEST['gen']; $mobile_no=$_REQUEST['mobile_no']; $mobile_no2=$_REQUEST['mobile_no1']; $Email_Id=$_REQUEST['Emailid']; $dob=$_REQUEST['day']."/".$_REQUEST['month']."/".$_REQUEST['year']; $age=$_REQUEST['age']; $category=$_REQUEST['category']; $peraddress=$_REQUEST['peraddress'];$percity=$_REQUEST['percity']." ".$_REQUEST['percity1']." ".$_REQUEST['percity2']; $perblock=$_REQUEST['aadblock']; $Adhaarcard=$_REQUEST['Adhaarcard']; $ref_name=$_REQUEST['ref_name']; $created_date=date('m/d/y,h:i:s'); $sq=mysql_query("select * from allcounselling where Name LIKE '$newcandidatename' and FatherName LIKE '$fathername' and Dob LIKE '$dob'"); if(mysql_num_rows($sq)>0) { $msg="ALready exist $newcandidatename, $fathername, $dob'"; } else { // start the query $sql=mysql_query("INSERT INTO allcounselling (Department, Scheme, Postname, Sub_location, District, Name, marital_status, FatherName, Category, Gender, Dob, Totalage, Address, Add_dist, Email, Mobile1, Mobile2, created_date, Aadharcard, Reference_name, counseller_name, Status, text3, text4, text5) VALUES (UPPER('$deptname'), UPPER('$scheme'), UPPER('$postname'), UPPER('$Sub_location'), UPPER('$district1'), UPPER('$newcandidatename'), UPPER('$oldfathername'), UPPER('$fathername'), UPPER('$category'), UPPER('$gender'), '$dob', UPPER('$age'), UPPER('$peraddress'), UPPER('$percity'), '$Email_Id', '$mobile_no', '$mobile_no2', '$created_date', UPPER('$Adhaarcard'), UPPER('$ref_name'), UPPER('$username'),'COUNSELLED', '$text3', '$text4','$text5');"); } // start condition if($sql==true) { echo "<script>"; echo "location.href='couns_report1.php'"; echo "</script>"; $msg="<font color='navy'>Record saved</font>"; } else { die("Details already Exist in our Record<br> INSERT INTO allcounselling (Department, Scheme, Postname, Sub_location, District, Name, marital_status, FatherName, Category, Gender, Dob, Totalage, Address, Add_dist, Email, Mobile1, Mobile2, created_date, Aadharcard, Reference_name, counseller_name, Status, text3, text4 ,text5) VALUES (UPPER('$deptname'), UPPER('$scheme'), UPPER('$postname'), UPPER('$Sub_location'), UPPER('$district1'), UPPER('$newcandidatename'), UPPER('$oldfathername'), UPPER('$fathername'), UPPER('$category'), UPPER('$gender'), '$dob', UPPER('$age'), UPPER('$peraddress'), UPPER('$percity'), '$Email_Id', '$mobile_no', '$mobile_no2', '$created_date', UPPER('$Adhaarcard'), UPPER('$ref_name'), UPPER('$username'),'$text2', '$text3', '$text4','$text5');"); $msg='ALready exist'; } } ?> <html> <head> <title>RAMA INFOTECH PVT LTD</title> <meta charset="utf-8"> <meta name="viewport" content="width=device-width, initial-scale=1.0, maximum-scale=1.0, user-scalable=no"> <link href="../layout/styles/layout.css" rel="stylesheet" type="text/css" media="all"> <script type="text/javascript" src="js/attmasea.js"></script> <script src="js/jquery-1.11.1.min.js"></script> <script src="js/wow.min.js"></script> <script src="js/jquery-1.3.2.js" type="text/javascript"> </script> <script src="js/jquery.validate.js" type="text/javascript"> </script> <script src="js/jquery.validation.functions.js" type="text/javascript"> </script> <link href="css/animate.min.css" rel="stylesheet"/> <style> /** * @author GeekTantra * @date 20 September 2009 */ input, select { border: 1px solid #888; background: #ffffff; padding: 3px 4px; color: #222; margin: 0px 5px 0px 0px; border-radius: 7px; -moz-border-radius: 7px; } input:focus, select:focus { outline: none; } .InputGroup { display: inline-block; padding: 3px 4px; border: 1px solid #FFF; border-radius: 7px; -moz-border-radius: 7px; } .ErrorField { border-color: #D00; color: #D00; background: #FFFFFE; } span.ValidationErrors { display: inline-block; font-size: 12px; color: #D00; padding-left: 10px; font-style: italic; } </style> <!-- ################################################################################################ --> <script type="text/javascript"> function blink() { var blinks = document.getElementsByTagName('blink'); for (var i = blinks.length - 1; i >= 0; i--) { var s = blinks[i]; s.style.visibility = (s.style.visibility === 'visible') ? 'hidden' : 'visible'; } window.setTimeout(blink, 400); } if (document.addEventListener) document.addEventListener("DOMContentLoaded", blink, false); else if (window.addEventListener) window.addEventListener("load", blink, false); else if (window.attachEvent) window.attachEvent("onload", blink); else window.onload = blink; </script> <div class="wrapper row1"> <header id="header" class="clear"> <div id="logo" class="fl_left"> <h1><a href="../index.html"></a></h1> </div> <div class="fl_right"> </div> </header> </div> <!-- //animation-effect --> <script type="text/javascript"> /* <![CDATA[ */ jQuery(function(){ jQuery("#ValidNumber").validate({ expression: "if (!isNaN(VAL) && VAL) return true; else return false;", message: "Should be a number" }); jQuery("#Emailid").validate({ expression: "if (VAL.match(/^[^\\W][a-zA-Z0-9\\_\\-\\.]+([a-zA-Z0-9\\_\\-\\.]+)*\\@[a-zA-Z0-9_]+(\\.[a-zA-Z0-9_]+)*\\.[a-zA-Z]{2,4}$/)) return true; else return false;", message: "ईमेल आई० डी० का भरना अनिवार्य है " }); jQuery("#mobile_no").validate({ expression: "if (VAL.match(/^[0-9]{10}$/)) return true; else return false;", message: "मोबाइल न० 10 अंको का होना अनिवार्य है " }); jQuery("#mobile_no1").validate({ expression: "if (VAL.match(/^[0-9]{10}$/)) return true; else return false;", message: "मोबाइल न० 10 अंको का होना अनिवार्य है " }); jQuery("#Adhaarcard").validate({ expression: "if (VAL.match(/^[0-9]{12}$/)) return true; else return false;", message: "आधार न० 12 अंको का होना अनिवार्य है " }); jQuery("#Fname").validate({ expression: "if (VAL.match(/^[a-zA-Z ]*$/)) return true; else return false;", message: "सिर्फ अंग्रेजी में भरें " }); jQuery("#Lname").validate({ expression: "if (VAL.match(/^[a-zA-Z ]*$/)) return true; else return false;", message: "सिर्फ अंग्रेजी में भरें " }); jQuery("#Father_Fname").validate({ expression: "if (VAL.match(/^[a-zA-Z ]*$/)) return true; else return false;", message: "सिर्फ अंग्रेजी में भरें " }); jQuery("#Father_Lname").validate({ expression: "if (VAL.match(/^[a-zA-Z ]*$/)) return true; else return false;", message: "सिर्फ अंग्रेजी में भरें " }); }); /* ]]> */ </script> <script type="text/javascript"> function calc2(birthday) { var total8th = document.getElementById("VIIIMM").value; var Mo8th= document.getElementById("VIIIMO").value; if(total8th<Mo8th) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("VIIIMO").value=""; return false; } var d=(parseInt(Mo8th)/ parseInt(total8th))*100; birthday.VIIIPer.value = d; } function calc3(birthday) { var total10th = document.getElementById("HSMM").value; var Mo10th= document.getElementById("HSMO").value; if(total10th<Mo10th) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("HSMO").value=""; return false; } var d=( parseInt(Mo10th)/ parseInt(total10th))*100; birthday.HSPer.value = d; } function calc4(birthday) { var total12th = document.getElementById("totalinter").value; var Mo12th= document.getElementById("Mointer").value; if(total12th<Mo12th) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("Mointer").value=""; return false; } var d=( parseInt(Mo12th)/ parseInt(total12th))*100; birthday.Divinter.value = d; } function calc5(birthday) { var totalhigh = document.getElementById("totalhigh").value; var Mohigh= document.getElementById("Mohigh").value; if(totalhigh<Mohigh) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("Mohigh").value=""; return false; } var d=(parseInt(Mohigh)/ parseInt(totalhigh))*100; birthday.Divhigh.value = d; } function calc6(birthday) { var totalug = document.getElementById("totalug").value; var Moug= document.getElementById("Moug").value; if(totalug<Moug) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("moug").value=""; return false; } var d1=( parseInt(Moug)/ parseInt(totalug))*100; birthday.Divug.value = d1; } function calc7(birthday) { var totalc = document.getElementById("COtherMO").value; var Moc= document.getElementById("COtherMM").value; if(totalc>Moc) { alert('Masks obtained should not be greater than maximum Marks'); document.getElementById("COtherMO").value=""; return false; } var d=(totalc/Moc)*100; birthday.COtherPer.value = d; } <!--Email must be an email --> $('#Emailid').on('input', function() { var input=$(this); var re = /^[a-zA-Z0-9.!#$%&'*+/=?^_`{|}~-]+@[a-zA-Z0-9-]+(?:\.[a-zA-Z0-9-]+)*$/; var is_email=re.test(input.val()); if(is_email){input.removeClass("invalid").addClass("valid");} else{input.removeClass("valid").addClass("invalid");} }); </script> <script type="text/javascript"> var startyear = "1950"; var endyear = "2000"; var dat = new Date(); var curday = dat.getDate(); var curmon = dat.getMonth()+1; var curyear = dat.getFullYear(); function checkleapyear(datea) { if(datea.getYear()%4 == 0) { if(datea.getYear()% 10 != 0) { return true; } else { if(datea.getYear()% 400 == 0) return true; else return false; } } return false; } function DaysInMonth(Y, M) { with (new Date(Y, M, 1, 12)) { setDate(0); return getDate(); } } function datediff(date1, date2) { var y1 = date1.getFullYear(), m1 = date1.getMonth(), d1 = date1.getDate(), y2 = date2.getFullYear(), m2 = date2.getMonth(), d2 = date2.getDate(); if (d1 < d2) { m1--; d1 += DaysInMonth(y2, m2); } if (m1 < m2) { y1--; m1 += 12; } return [y1 - y2, m1 - m2, d1 - d2]; } function calage() { var calday = document.birthday.day.options[document.birthday.day.selectedIndex].value; var calmon = document.birthday.month.options[document.birthday.month.selectedIndex].value; var calyear = document.birthday.year.options[document.birthday.year.selectedIndex].value; if(curday == "" || curmon=="" || curyear=="" || calday=="" || calmon=="" || calyear=="") { alert("please fill all the values and click go -"); } else { var curd = new Date(curyear,curmon-1,curday); var cald = new Date(calyear,calmon-1,calday); var diff = Date.UTC(curyear,curmon,curday,0,0,0) - Date.UTC(calyear,calmon,calday,0,0,0); var dife = datediff(curd,cald); document.birthday.age.value=dife[0]+" years"; } } </script> <script> function ValidateFileUpload() { var fuData = document.getElementById('pic'); var FileUploadPath = fuData.value; if (FileUploadPath == '') { alert("Please upload an image"); } else { var Extension = FileUploadPath.substring(FileUploadPath.lastIndexOf('.') + 1).toLowerCase(); if (Extension == "gif" || Extension == "png" || Extension == "bmp" || Extension == "jpeg" || Extension == "jpg") { if (fuData.files && fuData.files[0]) { var size = fuData.files[0].size; if(size >= 40000) { alert("Maximum file 40 kb width (100 pixel) * height (120pixel)"); document.getElementById('pic').value=""; document.getElementById('pic').focus(); return; }else{ var reader = new FileReader(); reader.onload = function(e) { $('#blah').attr('src', e.target.result); } reader.readAsDataURL(fuData.files[0]); } } } else { alert("Photo only allows file types of GIF, PNG, JPG, JPEG and BMP. "); document.getElementById('pic').value=""; document.getElementById('pic').focus(); } } } </script> <script language="javascript"> var _validFileExtensions = [".jpg", ".jpeg", ".bmp", ".gif", ".png",".pdf"]; function ValidateSingleInput(oInput) { if (oInput.type == "file") { var sFileName = oInput.value; if (sFileName.length > 0) { var blnValid = false; for (var j = 0; j < _validFileExtensions.length; j++) { var sCurExtension = _validFileExtensions[j]; if (sFileName.substr(sFileName.length - sCurExtension.length, sCurExtension.length).toLowerCase() == sCurExtension.toLowerCase()) { blnValid = true; break; } } if (!blnValid) { alert("Sorry, " + sFileName + " is invalid, allowed extensions are: " + _validFileExtensions.join(", ")); oInput.value = ""; return false; } } } return true; } </script> <script> function fun(d) { var str=""; if(d=="OTHER") { str="<input type='text' name='percity' required='required' id='percity' style='width:240px;height:25px;' placeholder='State Name' class='long'/> "; var str1="<input type='text' name='percity' required='required' id='percity' style='width:240px;height:25px;' placeholder='District Name' class='long'/>"; } else { str=""; str1=""; } document.getElementById("perdist").innerHTML=str; document.getElementById("perdist1").innerHTML=str1; } </script> <script> function castpp(c) { if(c=="OBC" || c=="SC" || c=="ST") { var cst="<table style='color:black;'><tr><td><b>Cast Certificate(in jpg)* </b></td> <td><input type='file' id='uploadcast' name='uploadcast' required='required' style='font-weight:bold;width:240px;height:35px;' onchange='return ValidateExtension()'/> <span id='lblError' style='color: red;'></span></td></tr></table>"; document.getElementById("upcst").innerHTML=cst; } else { var cst=""; document.getElementById("upcst").innerHTML=cst; } } function subloca(s) { if(s=="Amroha" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Amroha(NPP)'>Amroha(NPP)</option><option value='Bachhraon(NPP)'>Bachhraon(NPP)</option><option value='Dhanaura(NPP)'>Dhanaura(NPP)</option><option value='Gajraula(NP)'>Gajraula(NP)</option><option value='Hasanpur(NPP)'>Hasanpur(NPP)</option><option value='Joya(NP)'>Joya(NP)</option><option value='NaugawanSadat(NP)'>NaugawanSadat(NP)</option><option value='Ujhari(NP)'>Ujhari(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Badaun" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Budaun(NPP)'>Budaun(NPP)</option><option value='Allapur(NP)'>Allapur(NP)</option><option value='Bilsi(NPP)'>Bilsi(NPP)</option><option value='Bisauli(NPP)'>Bisauli(NPP)</option><option value='Dataganj(NP)'>Dataganj(NP)</option><option value='Faizganj(NP)'>Faizganj(NP)</option><option value='Gulariya(NP)'>Gulariya(NP)</option><option value='Islamnagar(NP)'>Islamnagar(NP)</option><option value='Kachhla(NP)'>Kachhla(NP)</option><option value='Kakrala(NPP)'>Kakrala(NPP)</option><option value='Kunwargaon(NP)'>Kunwargaon(NP)</option><option value='Mundiya(NP)'>Mundiya(NP)</option><option value='Rudayan(NP)'>Rudayan(NP)</option><option value='Sahaswan(NPP)'>Sahaswan(NPP)</option><option value='Saidpur(NP)'>Saidpur(NP)</option><option value='Sakhanu(NP)'>Sakhanu(NP)</option><option value='Ujhani(NPP)'>Ujhani(NPP)</option><option value='Usawan(NP)'>Usawan(NP)</option><option value='Usehat(NP)'>Usehat(NP)</option><option value='Wazirganj(NP)'>Wazirganj(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Bijnor" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Bijnore(NPP)'>Bijnore(NPP)</option><option value='Afzalgarh(NPP)'>Afzalgarh(NPP)</option><option value='Chandpur(NPP)'>Chandpur(NPP)</option><option value='Dhampur(NPP)'>Dhampur(NPP)</option><option value='Haldaur(NPP)'>Haldaur(NPP)</option><option value='Jalalabad(NP)'>Jalalabad(NP)</option><option value='Jhalu(NP)'>Jhalu(NP)</option><option value='Kiratpur(NPP)'>Kiratpur(NPP)</option><option value='Mandawar(NP)'>Mandawar(NP)</option><option value='Nagina(NPP)'>Nagina(NPP)</option><option value='Najibabad(NPP)'>Najibabad(NPP)</option><option value='Nehtaur(NPP)'>Nehtaur(NPP)</option><option value='Noorpur(NPP)'>Noorpur(NPP)</option><option value='Sahanpur(NP)'>Sahanpur(NP)</option><option value='Sahaspur(NP)'>Sahaspur(NP)</option><option value='Seohara(NPP)'>Seohara(NPP)</option><option value='Sherkot(NPP)'>Sherkot(NPP)</option><option value='Warhapur(NP)'>Warhapur(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Baghpat" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''><option value='Baghpat(NPP)'>Baghpat(NPP)</option><option value='AgarwalMandi(NP)'>AgarwalMandi(NP)</option><option value='AminagarSarai(NP)'>AminagarSarai(NP)</option><option value='Baraut(NPP)'>Baraut(NPP)</option><option value='Chhaprauli(NP)'>Chhaprauli(NP)</option><option value='Doghat(NP)'>Doghat(NP)</option><option value='Khekada(NPP)'>Khekada(NPP)</option><option value='Tikri(NP)'>Tikri(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Bareilly" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Bareilly(MCorp.)'>Bareilly(MCorp.)</option><option value='Aonla(NPP)'>Aonla(NPP)</option><option value='Baheri(NPP)'>Baheri(NPP)</option><option value='Bisharatganj(NP)'>Bisharatganj(NP)</option><option value='Deoranian(NP)'>Deoranian(NP)</option><option value='DhauraTanda(NP)'>DhauraTanda(NP)</option><option value='Faridpur(NP)'>Faridpur(NP)</option><option value='Faridpur(NPP)'>Faridpur(NPP)</option><option value='FatehganjPashchimi(NP)'>FatehganjPashchimi(NP)</option><option value='FatehganjPurvi(NP)'>FatehganjPurvi(NP)</option><option value='Mirganj(NP)'>Mirganj(NP)</option><option value='Nawabganj(NPP)'>Nawabganj(NPP)</option><option value='Richha(NP)'>Richha(NP)</option><option value='Rithora(NP)'>Rithora(NP)</option><option value='Sainthal(NP)'>Sainthal(NP)</option><option value='Shahi(NP)'>Shahi(NP)</option><option value='Shergarh(NP)'>Shergarh(NP)</option><option value='Shishgarh(NP)'>Shishgarh(NP)</option><option value='Sirauli(NP)'>Sirauli(NP)</option><option value='ThiriyaNizawatKhan(NP)'>ThiriyaNizawatKhan(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Bulandshahr" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Bulandshahr(NPP)'>Bulandshahr(NPP)</option><option value='Anupshahr(NPP)'>Anupshahr(NPP)</option><option value='Aurangabad(NP)'>Aurangabad(NP)</option><option value='BhawanBahadurnagar(NP)'>BhawanBahadurnagar(NP)</option><option value='Bugrasi(NP)'>Bugrasi(NP)</option><option value='Chhatari(NP)'>Chhatari(NP)</option><option value='Dibai(NPP)'>Dibai(NPP)</option><option value='Gulaoti(NPP)'>Gulaoti(NPP)</option><option value='Jahangirabad(NPP)'>Jahangirabad(NPP)</option><option value='Kakod(NP)'>Kakod(NP)</option><option value='Khanpur(NP)'>Khanpur(NP)</option><option value='Khurja(NPP)'>Khurja(NPP)</option><option value='Naraura(NP)'>Naraura(NP)</option><option value='Pahasu(NP)'>Pahasu(NP)</option><option value='Shikarpur(NPP)'>Shikarpur(NPP)</option><option value='Siana(NPP)'>Siana(NPP)</option><option value='Sikandrabad(NPP)'>Sikandrabad(NPP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Gautam Buddha Nagar" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Dadri(NPP)'>Dadri(NPP)</option><option value='Bilaspur(NP)'>Bilaspur(NP)</option><option value='Dankaur(NP)'>Dankaur(NP)</option><option value='Jahangirpur(NP)'>Jahangirpur(NP)</option><option value='Jewar(NP)'>Jewar(NP)</option><option value='Rabupura(NP)'>Rabupura(NP)</option></select>"; document.getElementById("subloc").innerHTML=sch; } else if(s=="Ghaziabad" || s=="SBM-U") { var sch="<select id='sublocation' name='sublocation' style='width:240px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Ghaziabad(MCorp.)'>Ghaziabad(MCorp.)</option><option value='Dasna(NP)'>Dasna(NP)</option><option value='Faridnagar(NP)'>Faridnagar(NP)</option><option value='Khoda(NPP)'>Khoda(NPP)</option><option value='Loni(NPP)'>Loni(NPP)</option><option value='Modinagar(NPP)'>Modinagar(NPP)</option><option value='Muradnagar(NPP)'>Muradnagar(NPP)</option><option value='Niwari(NP)'>Niwari(NP)</option><option value='Patala(NP)'>Patala(NP)</option></select>"; 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Division, Bahraich</option></select>"; document.getElementById("subloc").innerHTML=sch; } else { var sch=""; document.getElementById("subloc").innerHTML=sch; } } ////////////////////////// function subl(sg) { if(sg=="Lucknow" || s=="SGPGI") { var sgp="<select id='sublocation' name='sublocation' style='width:250px;height:30px;font-weight:bold;' required='required'><option value=''></option><option value='Biothics'>Biothics</option><option value='Research'>Research</option><option value='Core-lab'>Core-lab</option><option value='Finance'>Finance</option><option value='PG-hostel'>PG-hostel</option><option value='Admin'>Admin</option><option value='Nursuing'>Nursuing</option><option value='HRF-PH'>HRF-PH</option><option value='Pharmasist'>Pharmasist</option><option value='IRF'>IRF</option><option value='HRF-DEO'>HRF-DEO</option></select>"; document.getElementById("subloc").innerHTML=sgp; } else { var sgp=""; document.getElementById("subloc").innerHTML=sgp; } } //////////////////////////// </script> <script type="text/javascript"> function StringCompare(mobile_no1) { var string1 = document.getElementById("mobile_no").value; var string2 = document.getElementById("mobile_no1").value; var r3=/^[0-9]{10}$/; if(string1 == string2) { alert("Both Mobile No should not be same."); document.getElementById("mobile_no1").value=""; return false; } } $(function () { $("#submit").click(function () { var password = $("#Account_no").val(); var confirmPassword = $("#confirm_acc").val(); if (password != confirmPassword) { alert("Account No do not match."); document.getElementById("Account_no").value=""; document.getElementById("confirm_acc").value=""; return false; } return true; }); }); </script> <script> function showUser(str) { if (str == "") { document.getElementById("ss1").innerHTML =""; return; } else { if (window.XMLHttpRequest) { // code for IE7+, Firefox, Chrome, Opera, Safari xmlhttp = new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp = new ActiveXObject("Microsoft.XMLHTTP"); } xmlhttp.onreadystatechange = function() { if (xmlhttp.readyState == 4 && xmlhttp.status == 200) { document.getElementById("ss1").innerHTML = xmlhttp.responseText; } }; xmlhttp.open("GET","data.php?na="+str,true); xmlhttp.send(); } } function showUser1(str1) { if (str1 == "") { document.getElementById("dist22").innerHTML =""; return; } else { if (window.XMLHttpRequest) { // code for IE7+, Firefox, Chrome, Opera, Safari xmlhttp = new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp = new ActiveXObject("Microsoft.XMLHTTP"); } xmlhttp.onreadystatechange = function() { if (xmlhttp.readyState == 4 && xmlhttp.status == 200) { document.getElementById("dist22").innerHTML = xmlhttp.responseText; } }; xmlhttp.open("GET","data1.php?na1="+str1,true); xmlhttp.send(); } } function showUser2(str2) { var a=document.getElementById("scheme").value; if (str2 == "") { document.getElementById("div1").innerHTML =""; return; } else { if (window.XMLHttpRequest) { // code for IE7+, Firefox, Chrome, Opera, Safari xmlhttp = new XMLHttpRequest(); } else { // code for IE6, IE5 xmlhttp = new ActiveXObject("Microsoft.XMLHTTP"); } xmlhttp.onreadystatechange = function() { if (xmlhttp.readyState == 4 && xmlhttp.status == 200) { document.getElementById("div1").innerHTML = xmlhttp.responseText; } }; xmlhttp.open("GET","data2.php?na2="+str2+"&na4="+a,true); xmlhttp.send(); } } //SCANNER </script> </head> <body id="top" style="font-family:times new roman;"> <div class="wrapper row3"> <div class="col-md-12 contact-left wow fadeInRight" data-wow-duration="1000ms" data-wow-delay="300ms"> <form method="post" name="birthday" class="register" enctype="multipart/form-data"><font color="black">हेल्पलाइन न० - 0522-4074241</font> <?php echo $msg;?> <h1 align="right"><center><font color="#2A5CAA" face="andalus"><b>COUNSELLING FORM</b></font></center> </h1> <fieldset style=" border:2px solid #2A5CAA; -moz-border-radius:10px;-webkit-border-radius:10px;margin-left:100px;margin-right:100px"> <table width='100%' style='border:1px solid #2A5CAA;color:black' cellspacing='1' cellpadding='2'> <tr><td colspan="4" style="background-color:#2A5CAA;"><center><span style="color:white;font-weight:bold;font-style:bold;"><strong><font size="4">Department Details</font></strong></span></center> </td></tr> <tr><td colspan="4"><br></td></tr> <tr> <td align="center"> <label><b>Department (विभाग )<font color="red">*</font></b> </label></td> <td> <div><select name="deptname" id="deptname" required="required" style="width:240px;height:30px;font-weight:bold;" onChange="showUser(this.value)"> <option value=""></option> <?php include("connection.php"); $sql=mysql_query("SELECT distinct department FROM login order by department")or die(mysql_error()); while($r = mysql_fetch_array($sql)) { ?> <option value="<?php echo $r['department'];?>"><?php echo $r['department'];?></option> <?php } ?> </select></div> </td> <td align="center"> <label><b>Scheme (योजना )<font color="red">*</font></b> </label></td> <td > <div id="ss1"> <select name="scheme" id="scheme" required="required" style="width:240px;height:30px;font-weight:bold;"> <option value=""></option> </select></div> </td> </tr> <tr> <td align="center"> <label><b>DIstrict (जिला )<font color="red">*</font></b> </label></td> <td> <div id="dist22"> <select name="district1" id="district1" required="required" style='width:240px;height:30px;font-weight:bold;' > <option value=""></option> </select></div> </td> <td align="center"> <label><b>Posting Place<font color="red">*</font></b> </label></td> <td> <div id="div1"><input type='text' name="hospital" id="hospital" style="width:240px;height:30px;font-weight:bold;" > </div> </td> </tr> <tr><td align='center'> <label><b>Postname (पदनाम ) <font color="red">*</font></b> </label></td> <td > <div id="postd"> <input type='text' style="width:240px;height:30px;font-weight:bold;" name="postname" id="postname" required="required" > </div> </td></tr> <tr><td colspan="5"><br></td></tr> </table> <table width='100%' style='border:1px solid #2A5CAA;color:black;' cellspacing='1' cellpadding='2'> <tr><td colspan="4" style="background-color:#2A5CAA;"><center><span style="color:white;font-weight:bold;font-style:bold;"><strong><font size="4">Personal Details</font></strong></span></center> </td></tr> <tr><td colspan="5"><br></td></tr> <tr> <td align="center"> <label><b>Name (नाम )<font color="red">*</font><br><font size='2' color='navy'>(10वीं के प्रमाण -पत्र के अनुसार )</font></b> </label></td> <td> <input type="text" autocomplete="OFF" name="Fname" id="Fname" placeholder="First Name" required="required" class="long" onKeyPress="return IsAlphaNumeric(event);" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span><br> </td> <td> <input type="text" onKeyPress="return IsAlphaNumeric(event);" autocomplete="OFF" name="Mname" id="Mname" placeholder="Middle Name" class="long" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span> </td> <td> <input type="text" onKeyPress="return IsAlphaNumeric(event);" autocomplete="OFF" name="Lname" id="Lname" placeholder="Last Name" class="long" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span> </td> </td> </tr> <tr> <td align="center"> <label><b>Father/Husband's Name<font color="red">*</font><br><font size='2' color='navy'>(10वीं के प्रमाण -पत्र के अनुसार )</font></b></label> </td> <td> <input type="text" autocomplete="OFF" name="Father_Fname" id="Father_Fname" placeholder="First Name" required="required" class="long" onKeyPress="return IsAlphaNumeric(event);" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span> </td> <td> <input type="text" onKeyPress="return IsAlphaNumeric(event);" autocomplete="OFF" name="Father_Mname" id="Father_Mname" placeholder="Middle Name" class="long" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span> </td> <td> <input type="text" onKeyPress="return IsAlphaNumeric(event);" autocomplete="OFF" name="Father_Lname" id="Father_Lname" placeholder="Last Name" class="long" style="width:240px;height:30px;text-transform:uppercase;" /> <br><span id="error" style="color: Red; display: none">Special Characters not allowed</span> </td> </tr> <tr> <td align="center"> <label><b>Category (आरक्षण श्रेणी )<font color="red">*</font><br><font size='2' color='navy'>(GEN / OBC / SC / ST)</font></b> </label></td><td> <select name="category" id="category" style="width:240px;height:30px;font-weight:bold;" onchange="castpp(this.value)" placeholder="Select" required="required"> <option value="">select </option> <option value="GEN">GEN </option> <option value="OBC">OBC </option> <option value="SC">SC </option> <option value="ST">ST </option> </select> </td> <td align="center"> <label><b>Gender (लिंग )<font color="red">*</font></b></label> </td> <td> <select name="gen" id="gen" style="width:240px;height:30px;font-weight:bold;" placeholder="Select" required="required"> <option value="">select </option> <option value="MALE">MALE </option> <option value="FEMALE">FEMALE </option> <option value="TRANSGENDER">TRANSGENDER </option> </select> </td> </tr> <tr> <td align="center"> <label><b>Date Of Birth<font color="red">*</font><br><font size='2' color='navy'>(10वीं के प्रमाण -पत्र में अंकित )</font></b> </label> </td> <td> <select style="width:240px;height:30px;font-weight:bold;" name="day" id="day" size="1" placeholder="Select" required="required"> <option value="">Date</option> <script type="text/javascript">for(var j=1;j<32;j++)document.write("<option value="+j+">"+j+"</option>"); </script></select> </td><td> <select style="width:240px;height:30px;font-weight:bold;" name="month" id="month" size="1" placeholder="Select" required="required"> <option value="">Month</option> <script type="text/javascript">for(var i=1;i<13;i++)document.write("<option value="+i+">"+i+"</option>"); </script></select></td><td> <select style="width:240px;height:30px;font-weight:bold;" name="year" id="year" size="1" onchange="calage()" placeholder="Select" required="required"> <option value="">Year</option> <script type="text/javascript">for(var k=startyear;k<endyear;k++)document.write("<option value="+k+">"+k+"</option>"); </script></select> </td> </tr> <tr> <td align="center"> <label><b>Age(<?php echo date('d.m.y');?>)<font color="red">*</font></b> </label> </td> <td colspan="3"> <input readonly type="text" name="age" id="age" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" size="40" value="0" class="long"> </td> </tr> </tr><tr><td colspan="4"><br></td></tr> <tr> <td align="center"> <label><b> 1st_Mobile_no<font color="red">*</font><br> <font size='2' color='navy'>(अपना व्यक्तिगत नंबर ही डालें )</font></b> </label> </td> <td> <input type="text" name="mobile_no" id="mobile_no" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" oncopy="{alert('copy,paste not allowed');return false;}" onpaste="{alert('copy,paste not allowed');return false;}" maxlength="10" onKeyPress="contactvalid(value)" placeholder="1st Mobile no." required="required"/> <span id="contact1" style="color: Red; display: none">contact no only 10 digit</span> <br> </td> <td align="center"> <label><b>2nd_Mobile_no<font color="red">*</font><br><font size='2' color='navy'>(यदि दूसरा नंबर हो तो अवश्य डालें )</font></b> </label></td> <td> <input type="text" name="mobile_no1" id="mobile_no1" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" required="required" class="long" oncopy="{alert('copy,paste not allowed');return false;}" onpaste="{alert('copy,paste not allowed');return false;}" maxlength="10" onKeyPress="StringCompare(value)" placeholder="2nd Mobile no."/> <span id="contact2" style="color: Red; display: none">contact no only 10 digit</span> </td> </tr> <tr> <td align="center"> <label><b>Email_Id<font color="red">*</font><br><font color="navy" size="2">अपनी व्यक्तिगत Email id ही भरें ,भविष्य में सभी जानकारियाँ Email पर ही जाएगी</font></b> </label> </td><td> <input name="Emailid" type="email" id="Emailid" style="width:240px;height:30px;font-weight:bold;" required="required" autocomplete="OFF" placeholder="Email" title="Email is Required" required /> <span class="error"></span> </td> <td align="center"> <label><b>Address<font color="red">*</font></b> </label></td> <td> <input type="text" name="peraddress" id="peraddress" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" class="long" placeholder="address" required="required" /> </td> </tr> <tr> <td align="center"> <label><b>District <font color="red">*</font></b> </label> </td><td> <select name='percity' id='percity' style="width:240px;height:30px;font-weight:bold;" placeholder='Select The district' onchange='fun(this.value);' required='required'> <option value=''>select</option> <option value='Agra'>AGRA</option> <option value='Aligarh'>ALIGARH</option> <option value='Allahabad'>ALLAHABAD</option> <option value='Ambedkar Nagar'>AMBEDKAR NAGAR</option> <option value='Amethi'>AMETHI</option> <option value='Amroha'>AMROHA</option> <option value='Auraiya'>AURAIYA</option> <option value='Azamgarh'>AZAMGARH</option> <option value='Baghpat'>BAGHPAT</option> <option value='Bahraich'>BAHRAICH</option> <option value='Ballia'>BALLIA</option> <option value='Balrampur'>BALRAMPUR</option> <option value='Banda'>BANDA</option> <option value='Barabanki'>BARABANKI</option> <option value='Bareilly'>BAREILLY</option> <option value='Basti'>BASTI</option> <option value='Bijnor'>BIJNOR</option> <option value='Badaun'>BADAUN</option> <option value='Bulandshahr'>BULANDSHAHR</option> <option value='Chandauli'>CHANDAULI</option> <option value='Chitrakoot'>CHITRAKOOT</option> <option value='Deoria'>DEORIA</option> <option value='Etah'>ETAH</option> <option value='Etawah'>ETAWAH</option> <option value='Faizabad'>FAIZABAD</option> <option value='Farrukhabad'>FARRUKHABAD</option> <option value='Fatehpur'>FATEHPUR</option> <option value='Firozabad'>FIROZABAD</option> <option value='Gautam Buddha Nagar'>GAUTAM BUDDHA NAGAR</option> <option value='Ghaziabad'>GHAZIABAD</option> <option value='Ghazipur'>GHAZIPUR</option> <option value='Gonda'>GONDA</option> <option value='Gorakhpur'>GORAKHPUR</option> <option value='Hamirpur'>HAMIRPUR</option> <option value='Hardoi'>HARDOI</option> <option value='Hathras'>HATHRAS</option> <option value='Jalaun'>JALAUN</option> <option value='Jaunpur'>JAUNPUR</option> <option value='Jhansi'>JHANSI</option> <option value='Jyotiba Phule Nagar'>JYOTIBA PHULE NAGAR</option> <option value='Kannauj'>KANNAUJ</option> <option value='Kanpur Dehat'>KANPUR DEHAT</option> <option value='Kanpur Nagar'>KANPUR NAGAR</option> <option value='Kanshiram Nagar'>KANSHIRAM NAGAR</option> <option value='Kaushambi'>KAUSHAMBI</option> <option value='Lakhimpur Kheri'>Lakhimpur Kheri</option> <option value='Kushinagar'>KUSHINAGAR</option> <option value='Lalitpur'>LALITPUR</option> <option value='Lucknow'>LUCKNOW</option> <option value='Maharajganj'>MAHARAJGANJ</option> <option value='Mahoba'>MAHOBA</option> <option value='Mainpuri'>MAINPURI</option> <option value='Mathura'>MATHURA</option> <option value='Mau'>MAU</option> <option value='Meerut'>MEERUT</option> <option value='Mirzapur'>MIRZAPUR</option> <option value='Moradabad'>MORADABAD</option> <option value='Muzaffarnagar'>MUZAFFARNAGAR</option> <option value='Hapur'>HAPUR</option> <option value='Pilibhit'>PILIBHIT</option> <option value='Pratapgarh'>PRATAPGARH</option> <option value='Raebareli'>RAEBARELI</option> <option value='Rampur'>RAMPUR</option> <option value='Saharanpur'>SAHARANPUR</option> <option value='Sant Kabir Nagar'>SANT KABIR NAGAR</option> <option value='Sant Ravidas Nagar'>SANT RAVIDAS NAGAR</option> <option value='Shahjahanpur'>SHAHJAHANPUR</option> <option value='Shamli'>SHAMLI</option> <option value='Shravasti'>SHRAVASTI</option> <option value='Siddharthnagar'>SIDDHARTHNAGAR</option> <option value='Sitapur'>SITAPUR</option> <option value='Sonbhadra'>SONBHADRA</option> <option value='Sultanpur'>SULTANPUR</option> <option value='Unnao'>UNNAO</option> <option value='Varanasi'>VARANASI</option> <option value="OTHER">OTHER</option> </select> </td> <td align="center"> <div id="perdist1"></div></td> <td align="center"> <div id="perdist"></div></td> </tr> </tr><tr><td colspan="4"><br></td></tr> <tr> <td align="center"> <label><b>Aadhar Card No. <font color="red">*</font><br><font size='2' color='navy'>(आधार कार्ड नंबर हो तो अवश्य डालें )</font></b> </label> </td> <td> <input type="text" name="Adhaarcard" id="Adhaarcard" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" maxlength="12" /> <br> </td> <td align="center"> <label><b>Marital Status <font color="red">*</font></b> </label> </td> <td> <select name="Marital" id="Marital" style="width:240px;height:30px;font-weight:bold;" placeholder="Select" required="required"> <option value="">select </option> <option value="MARRIED">MARRIED </option> <option value="UNMARRIED">UNMARRIED </option> <option value="WIDOWED">WIDOWED </option> <option value="DIVORCED">DIVORCED </option> </select> </td> </tr> <tr> <td align="center"> <label><b>Reference Name <font color="red">*</font></b> </label> </td> <td> <input type="text" name="ref_name" id="ref_name" autocomplete="OFF" style="width:240px;height:30px;font-weight:bold;" maxlength="12" /> </td> </tr> </tr><tr><td colspan="4"><br></td></tr> <tr> <td align="right" colspan="2"> <input type="submit" name="submit" value="SUBMIT" id="submit" style="font-weight:bold;width:90px;height:35px;background-color:#2A5CAA;color:white;" /> </td ><td colspan="2"> <a href='counselling_dash.php'><input type="button" name="BACK" value="BACK" id="BACK" style="font-weight:bold;width:90px;height:35px;background-color:#2A5CAA;color:white;" /></a> </td> </tr> <tr><td colspan="5"><br></td></tr> </table> </fieldset> </div> <div class="clearfix"> </div><br><br> </div> </form> <!-- for bootstrap working --> <script type="text/javascript"> var specialKeys = new Array(); specialKeys.push(8); //Backspace specialKeys.push(9); //Tab specialKeys.push(46); //Delete specialKeys.push(36); //Home specialKeys.push(35); //End specialKeys.push(37); //Left specialKeys.push(39); //Right function IsAlphaNumeric(e) { var keyCode = e.keyCode == 0 ? e.charCode : e.keyCode; var ret = ((keyCode >= 48 && keyCode <= 57) || (keyCode >= 65 && keyCode <= 90) || (keyCode >= 97 && keyCode <= 122) || (specialKeys.indexOf(e.keyCode) != -1 && e.charCode != e.keyCode)); document.getElementById("error").style.display = ret ? "none" : "inline"; return ret; } </script> <script src="js/bootstrap.js"></script> <!-- //for bootstrap working --> <!-- JAVASCRIPTS --> </body> </html>